Secondary breast reduction: Outcome and literature review

Abstract

Breast reduction surgery that was planned in a patient who had previous breast reduction surgery due to continuation or recurrence of macromastia symptoms after a certain period is called breast rereduction or secondary breast reduction surgery. The reasons that lead to secondary breast reduction surgery include inadequate volume excision at the first operation, pseudoptosis, or recurrence of macromastia. The most important aspect of the secondary breast reduction surgery is to determine the appropriate pedicle technique. In the literature, there are different opinions about the best pedicle technique for secondary reduction mammoplasty. We have planned secondary breast reduction surgery using superior pedicle technique in a patient who developed shoulder and arm pain and recurrent skin rashes under the breasts 13 years after the first operation. We prepared this report to present the outcome of our patient and discuss different surgical approaches for secondary breast reduction surgery with relevant literature.